Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA DORMAN, PA
ActiveSAMANTHA DORMAN, PA is a Psychiatric/Mental Health, Community CNS healthcare provider located in MESA, Arizona. NPI 1417209644 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · MESA, AZ
Registration Details
- NPI Number
- 1417209644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2012 (13.860459316141 yrs)
- Last Updated
- Nov 17, 2023
- Licenses
-
5276 (AZ)5276 (AZ)
Practice Information
- Address
-
2204 S DOBSON RD STE 201MESA, AZ, 852026457Browse AZ providers · Browse ZIP 85202
- Phone
- 6022307373
- Fax
- 4806298577
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Psychiatric/Mental Health, Community CNS
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.